REHABILITATION MEDICINE UNIT STEP BY STEP PROCEDURE

Size: px
Start display at page:

Download "REHABILITATION MEDICINE UNIT STEP BY STEP PROCEDURE"

Transcription

1 REHABILITATION MEDICINE UNIT STEP BY STEP PROCEDURE NEW PATIENTS (IN-PATIENTS-Charity/Private) 1 Nurse presents s chart/interdepartmental referral to PT/OT Clerk/Staff None None Patient s chart, referral slip/letter 1 mins Nurse in-charge (Ipapakita ng nars ang s chart/referral slip sa P/OT Clerk/Staff ) 2 a. evaluates and assesses (Pagsusuri at eksaminasyon sa pasyente ng doktor) 3 a. PT/OT administers therapy theraphy management/treatment sa pasyente) Private-PF ot Patient s chart 25 mins 30 mins depending Patient s chart. & 30 min. depending b. Issuance of Charge slip (Pagbibigay ng charge slip para sa pababayaran) Charge slip PT/OT Clerk/Staff

2 NEW PATIENTS (OUTSIDE REFERRAL-PATIENTS-Charity/Private) 1 Patient present referral to PT/OT Clerk/Staff (Ipapakita ng pasyente ang referral slip/letter sa PT/OT Clerk/Staff) 2 PT/OT Clerk/Staff instruct /companion to fill up data form at the OPD (Pumunta sa OPD at sagutan ang data form ) 3 Patient pays hospital card (Pumunta sa CASHIER-OPD at magbayad) and hospital card to PT/OT Clerk/Staff for scheduling of the ff. a. Check up by Rehab Doktor b. PT-OT treatment/management(seen by ) (Bumalik at ipakita ang resibo (Official Receipt) at hospital card para malaman kung kylan babalik para sa mga sumusunod: a. Pagsusuri/eksaminasyon b. Pagbibigay ng kaukulang theraphy treatment ) None None Patient s chart, referral slip/letter Private-PF ot 1 mins Nurse in-charge Patient s chart 25 mins 30 mins depending 60 None Data form 5 min. Patient/companion Depends lining up at the OPD

3 NEW PATIENTS (DISCHARGED IN-PATIENTS-Charity/Private) 1 Patient present hospital card/gives his full name and date of admission None None Hospital card 1 mins Patient/Companion card /Ibibigay ang buong pangalan at date of admission ) 2 For scheduling of check-up, evaluation and assessment (Bibigyan ang pasyente ng takdang araw at oras upang bumalik para sa pagsusuri/eksaminasyon) None Schedule form None 2 min PT/OT Clerk/Staff 5 min. depening on s needed informaion

4 OLD PATIENTS (Charity/Private) 1 Patient present hospital card and schedule form of PT/OT card at schedule form ) 2 a. Patient s check-up/evaluation and assessment by the Rehab Doctor (Pagsusuri/eksaminasyon ng doctor sa pasyente) b. PT/OT administers therapy therapy management/treatment ) c. Issuance of charge slip (Pagbibigay ng charge slip para sa babayaran) 3 Patient pays hospital fees (Pumunta sa CASHIER/COLLECTING (Window 1.) para sa babayaran na hospital fees ) To PT/OT Clerk/Staff for logbook recording None None Hospital card and schedule form Charity -100 Charge slip form Treatment done 1 mins Patient/ companion min. 1 mins PT/OT Clerk/staff None Charge slip 2 min Patient/companion None None Official receipt 1 min Patient/companion 30 mins depending and 30 mins depending (Bumalik sa Rehab para sa pagpapatala ng resibo (Official Receipt))

5 OLD PATIENTS (Charity/Private) (DATING PASYENTE) 1 Patient present hospital card and schedule form to PT/OT Clerk/Staff card at schedule form ) 2 a. Patient s check-up/evaluation and assessment by the Rehab Doctor (Pagsusuri/eksaminasyon ng doctor sa pasyente) b. PT/OT administers therapy therapy management/treatment ) c. Issuance of charge slip (Pagbibigay ng charge slip para sa babayaran) 3 Patient pays hospital fees (Pumunta sa CASHIER/COLLECTING (Window 1.) para sa babayaran na hospital fees ) To PT/OT Clerk/Staff for logbook recording None None Hospital card and schedule form Charity -100 Charge slip form Treatment done 1 mins Patient/ companion min. 1 min PT/OT Clerk/staff None Charge slip 2 min Patient/companion None None Official receipt 1 min Patient/companion 30 mins depending and 30 mins depending (Bumalik sa Rehab para sa pagpapatala ng resibo (Official Receipt))

6 OLD PATIENTS (Charity/Private) 1 Patient present hospital card and schedule form of PT/OT card at schedule form ) 2 a. Patient s check-up/evaluation and assessment by the Rehab Doctor (Pagsusuri/eksaminasyon ng doctor sa pasyente) b. PT/OT administers therapy therapy management/treatment ) c. Issuance of charge slip (Pagbibigay ng charge slip para sa babayaran) 3 Patient pays hospital fees (Pumunta sa CASHIER/COLLECTING (Window 1.) para sa babayaran na hospital fees ) To PT/OT Clerk/Staff for logbook recording (Bumalik sa Rehab para sa pagpapatala ng resibo (Official Receipt)) None None Hospital card and schedule form Charity -100 Charge slip form Treatment done 1 mins Patient/ companion min. 1 mins PT/OT Clerk/staff 30 mins depending and 30 mins depending None Charge slip 2 min Patient/companion Depends lining up at the Cashier/Collection (Window 1) None None Official receipt 1 min Patient/companion

Las Vegas Plan Unit 150 Coverage Period: 05/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Las Vegas Plan Unit 150 Coverage Period: 05/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.culinaryhealthfund.org or by calling 702-733-9938 or

More information

BlueOptions 1424. In-Network: Not Applicable. Out-Of- Network: $500 Per Person. Does not apply to In-Network preventive care.

BlueOptions 1424. In-Network: Not Applicable. Out-Of- Network: $500 Per Person. Does not apply to In-Network preventive care. BlueOptions 1424 Coverage Period: 01/01/2016-12/31/2016 All Copay Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type: PPO/EPO This

More information

HMSA: Platinum HMO Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: Coverage for: Plan Type: HMO This is only a summary.

HMSA: Platinum HMO Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: Coverage for: Plan Type: HMO This is only a summary. HMSA: Platinum HMO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual / Family Plan Type: HMO This is only a summary.

More information

Highmark Blue Shield: Flex Blue PPO 2100 a Community Blue Plan

Highmark Blue Shield: Flex Blue PPO 2100 a Community Blue Plan This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-888-510-1084.

More information

Coventry Health and Life Insurance Company: Bronze Deductible Only HS Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Coventry Health and Life Insurance Company: Bronze Deductible Only HS Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coventry Health and Life Insurance Company: Bronze Deductible Only HS Summary of Benefits and Coverage: What this Plan Covers & What it Costs Important Questions Answers Why This Matters: What is the overall

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsil.com or by calling 1-866-826-0913. Important Questions

More information

1 Patient Interview 1 minute ER Nurse on duty. Patient Assessment (Chief Complaint and Vital Signs)

1 Patient Interview 1 minute ER Nurse on duty. Patient Assessment (Chief Complaint and Vital Signs) EMERGENCY ROOM PATIENT CARE PROCEDURES (Monday- Sunday -24 Hours) Requirement Step Duration of Person in Charge Military Active Military ID 1 Patient Interview 1 minute ER Nurse on duty 2 Patient Assessment

More information

Yes. $2,500 single/$5,000 per family for contracted and non-contracted providers.

Yes. $2,500 single/$5,000 per family for contracted and non-contracted providers. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pehp.org or by calling 1-800-765-7347. Important Questions

More information

Coventry Health & Life Insurance Company: Brz Ded HSA Elig Carelink

Coventry Health & Life Insurance Company: Brz Ded HSA Elig Carelink Coventry Health & Life Insurance Company: Brz Ded HSA Elig Carelink Coverage Period : 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary.

More information

Coverage for: Individual/Family Plan Type: PPO

Coverage for: Individual/Family Plan Type: PPO This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at Marcia McMahon or by calling (814) 452-5673. Important Questions

More information

Yes. $125 per person for prescription drug expenses Yes. HSHS Facility/HSHS Preferred PCP/Network Specialist

Yes. $125 per person for prescription drug expenses Yes. HSHS Facility/HSHS Preferred PCP/Network Specialist This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www. hshs.org/benefits or by calling Dean Health Plan at

More information

Important Questions Answers Why this Matters: What is the overall deductible?

Important Questions Answers Why this Matters: What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pehp.org or by calling 1-800-765-7347. Important Questions

More information

Coventry Health & Life Insurance Company: Bronze $20 Copay Carelink

Coventry Health & Life Insurance Company: Bronze $20 Copay Carelink Coventry Health & Life Insurance Company: Bronze $20 Copay Carelink Coverage Period : 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary.

More information

Coventry Health & Life Insurance Company: Silver $10 Copay Carelink

Coventry Health & Life Insurance Company: Silver $10 Copay Carelink Coventry Health & Life Insurance Company: Silver $10 Copay Carelink Coverage Period : 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary.

More information

Important. Why this Matters:

Important. Why this Matters: Important What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can access the plan document via your employer's website or by calling 1-800-942-7154

More information

: BlueCross Platinum P02S-AI1 Coverage Period: Beginning on or after 01/01/2014

: BlueCross Platinum P02S-AI1 Coverage Period: Beginning on or after 01/01/2014 : BlueCross Platinum P02S-AI1 Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits & Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type: PPO This

More information

Honsin!! and Urban Development Coordinating Council HOUSING AND LAND USE REGULATORY BOARD ALL CONCERNED

Honsin!! and Urban Development Coordinating Council HOUSING AND LAND USE REGULATORY BOARD ALL CONCERNED Republic of the Philippines Office of the President Honsin!! and Urban Development Coordinating Council HOUSING AND LAND USE REGULATORY BOARD HLURB MEMORANDUM CIRCULAR NO. or; Series of 2013 ( ~u~~y 2

More information

Highmark Health Insurance Company: Health Savings Blue PPO 1300

Highmark Health Insurance Company: Health Savings Blue PPO 1300 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-888-510-1064.

More information

: SimplyBlue GI - T1 without Maternity - S Coverage Period: Beginning on or after 07/01/2014

: SimplyBlue GI - T1 without Maternity - S Coverage Period: Beginning on or after 07/01/2014 : SimplyBlue GI - T1 without Maternity - S Coverage Period: Beginning on or after 07/01/2014 Summary of Benefits & Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan

More information

How To Pay For Health Care With A Blue Options 1424 Plan

How To Pay For Health Care With A Blue Options 1424 Plan BlueOptions 1424 Coverage Period: 01/01/2014-12/31/2014 All Copay Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and/or Family Plan Type: PPO/EPO This

More information

. g .,, . . , Applicability of

More information

: Gold G08P, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016

: Gold G08P, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016 : Gold G08P, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits & Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type: PPO

More information

How Much Does My In-Network Provider Cover?

How Much Does My In-Network Provider Cover? OMB Control Numbers 1545-2229, Affinity Health Plan: Affinity Essential Silver Plan Coverage Period: 01/01/2014 12/31/2014 This is only a summary. If you want more detail about your coverage and costs,

More information

HMSA's Bronze PPO 6600

HMSA's Bronze PPO 6600 HMSA's Bronze PPO 6600 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015-12/31/2015 Coverage for: Individual / Family Plan Type: PPO This is only a summary.

More information

What is the overall deductible? is the only person covered under the plan.

What is the overall deductible? is the only person covered under the plan. Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

The Ohio State University: Basic PPO Plan Coverage Period: 01/01/2015 12/31/2015

The Ohio State University: Basic PPO Plan Coverage Period: 01/01/2015 12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at hr.osu.edu/hrpubs/ben/medicalspd.pdf or by calling 614-292-1050

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 01/01/2016-12/31/2016 Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 07/01/2016-06/30/2017 Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Highmark Health Insurance Company: Comprehensive Care Blue PPO 500

Highmark Health Insurance Company: Comprehensive Care Blue PPO 500 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-888-510-1064.

More information

Cigna Health and Life Insurance Co.: High Deductible Health. Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: High Deductible Health. Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: High Deductible Health Coverage Period: 08/01/2015-07/31/2016 Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

PPO Option 2: Highmark BCBS Coverage Period: 01/01/2016-12/31/2016

PPO Option 2: Highmark BCBS Coverage Period: 01/01/2016-12/31/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-472-1506. Important

More information

Highmark Health Insurance Company: Shared Cost Blue PPO 3200

Highmark Health Insurance Company: Shared Cost Blue PPO 3200 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-888-510-1064.

More information

What is the overall deductible?

What is the overall deductible? Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Fayette County Area Vo-Tech School: PPOBlue Coverage Period: 01/01/2015-12/31/2015

Fayette County Area Vo-Tech School: PPOBlue Coverage Period: 01/01/2015-12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important

More information

What is the overall deductible?

What is the overall deductible? Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Highmark Health Insurance Company: Shared Cost Blue PPO 5500

Highmark Health Insurance Company: Shared Cost Blue PPO 5500 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-544-6679. Important

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 01/01/2016-12/31/2016 Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/2015-12/31/2015

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/2015-12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important

More information

Highmark Blue Cross Blue Shield: PPOBlue Coverage Period: 08/01/2013-07/31/2014

Highmark Blue Cross Blue Shield: PPOBlue Coverage Period: 08/01/2013-07/31/2014 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important

More information

Highmark West Virginia: Blue Cross Blue Shield Shared Cost 1500, A Multi-State Plan

Highmark West Virginia: Blue Cross Blue Shield Shared Cost 1500, A Multi-State Plan This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbswv.com or by calling 1-888-601-2321 Important

More information

Preferred PPO Blue Options Health Insurance Plan Coverage Period: 04/01/2015 03/31/2016

Preferred PPO Blue Options Health Insurance Plan Coverage Period: 04/01/2015 03/31/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://icubabenefits.org or by calling 1-866-377-5102. In

More information

a TX Open Access Managed Choice 7500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

a TX Open Access Managed Choice 7500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period:To Be Determined This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document Important Questions Answers

More information

Cigna Health and Life Insurance Co.: HDHP Open Access Plus Coverage Period: 01/01/2014-12/31/2014

Cigna Health and Life Insurance Co.: HDHP Open Access Plus Coverage Period: 01/01/2014-12/31/2014 Cigna Health and Life Insurance Co.: HDHP Open Access Plus Coverage Period: 01/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 08/01/2015-07/31/2016 Access Plus HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Cigna HealthCare of Tennessee, Inc. and Connecticut General

Cigna HealthCare of Tennessee, Inc. and Connecticut General Cigna HealthCare of Tennessee, Inc. and Connecticut General Coverage Period: 07/01/2015-06/30/2016 Life Insurance Co.: HMO POS Open Access Summary of Benefits and Coverage: What this Plan Covers & What

More information

HMSA's Small Business Preferred Provider Plan - A

HMSA's Small Business Preferred Provider Plan - A HMSA's Small Business Preferred Provider Plan - A Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015-12/31/2015 Coverage for: Individual / Family Plan Type:

More information

Substance Abuse or Dependence

Substance Abuse or Dependence Substance Abuse or Dependence Substance abuse is a pattern of using alcohol or drugs that leads to problems in a person s life. These problems can: Put others at risk for harm when driving, working with

More information

Is there an out-of-pocket limit on my expenses?

Is there an out-of-pocket limit on my expenses? Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA 6350 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus HSA 6350 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 07/01/2014-06/30/2015 Access Plus HSA 6350 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

You don't have to meet deductibles for specific services, but see the chart starting on page 2 for other costs for services this plan covers.

You don't have to meet deductibles for specific services, but see the chart starting on page 2 for other costs for services this plan covers. Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 07/01/2015-06/30/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

What is not included in the out-of-pocket limit? Is there an overall annual limit on what the plan pays?

What is not included in the out-of-pocket limit? Is there an overall annual limit on what the plan pays? Cigna Health and Life Insurance Co.: Open Access Plus 2500 Coverage Period: 07/01/2014-06/30/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

: Silver S11P-AI1, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016

: Silver S11P-AI1, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016 : Silver S11P-AI1, Network P, A Multi-State Plan Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits & Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type:

More information

What is the overall deductible?

What is the overall deductible? Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

TX Aetna Gold $5 Copay San Antonio Community Plan PD

TX Aetna Gold $5 Copay San Antonio Community Plan PD This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthreformplansbc.com or by calling 1-866-253-8885.

More information

Blue Shield of California Life & Health Insurance: Active Start Plan 25 - G Coverage Period: Beginning on or after 1/1/2014

Blue Shield of California Life & Health Insurance: Active Start Plan 25 - G Coverage Period: Beginning on or after 1/1/2014 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.blueshieldca.com or by calling 1-800-431-2809. Important

More information

Nationwide Insurance Co.: Platinum Plan Indiana TECH Coverage Period: 8/1/15-7/31/16

Nationwide Insurance Co.: Platinum Plan Indiana TECH Coverage Period: 8/1/15-7/31/16 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chpstudent.com or by calling 1-800-633-7867. Important

More information

Are there other deductibles for specific services?

Are there other deductibles for specific services? Cigna Health and Life Insurance Co.: Open Access Plus Coverage Period: 07/01/2015-06/30/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cigna.com/individuals-families/connecticut or by calling

More information

Cooperating School Districts of Greater Kansas City Self-

Cooperating School Districts of Greater Kansas City Self- Cooperating School Districts of Greater Kansas City Self- Coverage Period: 07/01/2015-06/30/2016 Insurance Pool, Inc.: Blue Springs Open Access Plus Summary of Benefits and Coverage: What this Plan Covers

More information

TVA-Tennessee Valley Authority 80% PPO Plan Coverage Period: 01/01/2015-12/31/2015

TVA-Tennessee Valley Authority 80% PPO Plan Coverage Period: 01/01/2015-12/31/2015 TVA-Tennessee Valley Authority 80% PPO Plan Coverage Period: 01/01/2015-12/31/2015 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family* Plan Type: PPO This is

More information

:Sunrise Community of Tennessee (OPT#1) Coverage Period: 04/01/2015-03/31/2016

:Sunrise Community of Tennessee (OPT#1) Coverage Period: 04/01/2015-03/31/2016 :Sunrise Community of Tennessee (OPT#1) Coverage Period: 04/01/2015-03/31/2016 Summary of Benefits & Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type: PPO This

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.empireblue.com/nyc or by calling 1-800-767-8672 Important

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-866-403-6183. Important

More information

Coventry Health and Life Insurance Company: Gold $5 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Coventry Health and Life Insurance Company: Gold $5 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coventry Health and Life Insurance Company: Gold $5 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your

More information

chart starting on page 2 for other costs for services this plan covers.

chart starting on page 2 for other costs for services this plan covers. Arlington County Government: OAPIN Coinsurance Coverage Period: 07/01/2015-06/30/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual + Family

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.empireblue.com/nyc or by calling 1-800- 433-9592. Important

More information

HealthAmerica Pennsylvania, Inc: Silver $10 Copay HMO CSR 73

HealthAmerica Pennsylvania, Inc: Silver $10 Copay HMO CSR 73 HealthAmerica Pennsylvania, Inc: Silver $10 Copay HMO CSR 73 Coverage Period : 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Western Pennsylvania/Ohio 1-800-735-4404.

More information

Important Questions Answers Why this Matters: $2,200 Does not apply to preventive care or amounts over the plan s allowable charge.

Important Questions Answers Why this Matters: $2,200 Does not apply to preventive care or amounts over the plan s allowable charge. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cernerhealth.com or by calling 1-877-765-1033. Important

More information

City of New York CBP w/ Opt. Rider

City of New York CBP w/ Opt. Rider This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.emblemhealth.com or by calling 1-800-624-2414. Important

More information

Coventry Health Care of Virginia, Inc.: Gold $5 Copay POS Plan

Coventry Health Care of Virginia, Inc.: Gold $5 Copay POS Plan Coventry Health Care of Virginia, Inc.: Gold $5 Copay POS Plan Coverage Period : 01/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If

More information

Medical Mutual : Dublin City Schools HSA Family Plan 2

Medical Mutual : Dublin City Schools HSA Family Plan 2 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.525.5957. Important Questions

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Anthem Blue Cross and Blue Shield Anthem Gold Pathway X PPO 1500/10% Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015 12/31/2015 Coverage for: Individual

More information

Kaiser Permanente: KP DC Silver 1750/25%/HSA/Dental/PedDental Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:

Kaiser Permanente: KP DC Silver 1750/25%/HSA/Dental/PedDental Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Kaiser Permanente: KP DC Silver 1750/25%/HSA/Dental/PedDental Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Coverage Period: Plan Type: HDHP This is only a summary.

More information

National Guardian Life Insurance Company - Platinum Plan for: Texas Wesleyan University Coverage Period: 8/1/15 7/31/16

National Guardian Life Insurance Company - Platinum Plan for: Texas Wesleyan University Coverage Period: 8/1/15 7/31/16 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chpstudent.com or by calling 1-800-633-7867. Important

More information

Coventry Health and Life Insurance Company: Silver $10 Co-pay PPO KC Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Coventry Health and Life Insurance Company: Silver $10 Co-pay PPO KC Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coventry Health and Life Insurance Company: Silver $10 Co-pay PPO KC Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about

More information

Coverage Period : 01/01/2014-12/31/2014

Coverage Period : 01/01/2014-12/31/2014 Coventry Health and Life Insurance Company: Silver Integrated $10 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbsde.com or by calling 1-800-633-2563. Important

More information

Cigna Health and Life Insurance Co.: HDHP Open Access Plus. IN ($3,500/$7,000) Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: HDHP Open Access Plus. IN ($3,500/$7,000) Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: HDHP Open Access Plus Coverage Period: 07/01/2014-06/30/2015 IN ($3,500/$7,000) Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:

More information

Coverage Period : 01/01/2014-12/31/2014

Coverage Period : 01/01/2014-12/31/2014 Coventry Health and Life Insurance Company: Silver Integrated $10 Co-pay PPO KC Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more

More information

a GA Open Access Managed Choice Value 2500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

a GA Open Access Managed Choice Value 2500 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Are there other deductibles for specific services? Is there an out-of-pocket limit on my expenses? What is not included in the out-of-pocket limit? No. Yes. In-network: Individual $6,500 / Family 2 Individual

More information

meet the deductible. Yes. For a list of in-network providers, see www.welcometouhc.com/ PrincetonUniversity.

meet the deductible. Yes. For a list of in-network providers, see www.welcometouhc.com/ PrincetonUniversity. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://www.princeton.edu/hr/benefits/spd or by calling 609-258-3302.

More information

State of Illinois Quality Care Health Plan (QCHP): Cigna

State of Illinois Quality Care Health Plan (QCHP): Cigna State of Illinois Quality Care Health Plan (QCHP): Cigna Coverage Period: 07/01/2015-06/30/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

is the only person covered under the plan.

is the only person covered under the plan. Cigna Health and Life Insurance Co.: Open Access Plus IN Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Even though you pay these expenses, they don t count toward the out-ofpocket limit.

Even though you pay these expenses, they don t count toward the out-ofpocket limit. Cigna Health and Life Insurance Co.:myCigna Health Savings 3400 Coverage Period: 01/01/2015-12/31/15 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Family

More information

$2,000 person /$4,000 family. Important Questions Answers Why this Matters:

$2,000 person /$4,000 family. Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mycigna.com or by calling 1-800- Important Questions

More information

Coverage Period : 01/01/2014-12/31/2014. Plan Type: POS. Coverage for: EE, EE/Sp., EE/1Ch., EE/Children, Fam.

Coverage Period : 01/01/2014-12/31/2014. Plan Type: POS. Coverage for: EE, EE/Sp., EE/1Ch., EE/Children, Fam. Coventry Health Care of Virginia, Inc.: Silver $10 Copay POS Carelink Bon Secours Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail

More information

Important Questions Answers Why this matters: What is the overall deductible?

Important Questions Answers Why this matters: What is the overall deductible? Preferred Organization (PPO) This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsvt.com/vfp_cert or by

More information

a FL Basic HMO Coinsurance Plan 1-10 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

a FL Basic HMO Coinsurance Plan 1-10 Summary of Benefits and Coverage: What this Plan Covers & What it Costs What is the overall deductible? Are there other deductibles for specific services? Is there an out-of-pocket limit on my expenses? In-network: Individual $1,500 / Family $4,500 Does not apply to office

More information

Unity Prime Bronze HSA 9028746 - HMO HSA

Unity Prime Bronze HSA 9028746 - HMO HSA Unity Prime Bronze HSA 9028746 - HMO HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 1/1/2016-12/31/2016 Coverage for: Single/Family Plan Type: HMO This is

More information

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Choice Fund Open. Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Choice Fund Open Coverage Period: 07/01/2015-06/30/2016 Access Plus IN HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Cigna Health and Life Insurance Co.: Open Access Plus IN- Basic Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Cigna Health and Life Insurance Co.: Open Access Plus IN- Basic Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Cigna Health and Life Insurance Co.: Open Access Plus IN- Coverage Period: 01/01/2016-12/31/2016 Basic Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Individual

More information

Coverage Period: 01/01/2014-12/31/2014 Coverage for: Family Plan Type: HDHP CA Technologies

Coverage Period: 01/01/2014-12/31/2014 Coverage for: Family Plan Type: HDHP CA Technologies Aetna Choice POS II - High Deductible Health Plan This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthreformplansbc.com

More information

United Healthcare Insurance - Summary of Benefits and Costs

United Healthcare Insurance - Summary of Benefits and Costs UnitedHealthcare Life Ins Co: Platinum Copay Select Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family

More information

Important Questions Answers Why this Matters: For in-network providers $0 person/ $0 family For out of-network providers $500 person/ $1,000 family

Important Questions Answers Why this Matters: For in-network providers $0 person/ $0 family For out of-network providers $500 person/ $1,000 family Cigna Health & Life Insurance Company: mycigna Copay Assure Gold Coverage Period: 1/1/14-12/31/14 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Family

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Cigna Health and Life Insurance Co.: mycigna Health Flex 2750 Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual&Family

More information

Physicians Plus Insurance Corporation Coverage Period: 2015 Summary of Benefits and Coverage: WPE Traditional Uniform Benefits Plan Code: EHSTWWPE

Physicians Plus Insurance Corporation Coverage Period: 2015 Summary of Benefits and Coverage: WPE Traditional Uniform Benefits Plan Code: EHSTWWPE This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions

More information

DC37 Med Team PPO Plan Retirees

DC37 Med Team PPO Plan Retirees This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.emblemhealth.com or by calling 1-877-842-3625. Important

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.consumersmutual.org or by calling 1-877-371-9112. Important

More information

Mental Health Services: University of California Custom Health Savings Plan 1300/2600

Mental Health Services: University of California Custom Health Savings Plan 1300/2600 Cover Letter for Summary of Benefits and Coverage Mental Health Services: University of California Custom Health Savings Plan 1300/2600 Coverage Period: 01/01/2015-12/31/2015 The enclosed Summary of Benefits

More information